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Journal of Pediatric Psychology Advance Access originally published online on February 23, 2005
Journal of Pediatric Psychology 2005 30(5):449-452; doi:10.1093/jpepsy/jsi070
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Journal of Pediatric Psychology vol. 30 no. 5 © Society of Pediatric Psychology 2005; all rights reserved.

Commentary: Conducting Randomized Controlled Trials of Psychological Treatment to Improve the Outcomes of Recurrent Abdominal Pain: Contributions and Challenges

Dennis Drotar, PhD1 and Tonya Palermo, PhD2

1 Rainbow Babies and Children’s Hospital and Case Western Reserve School of Medicine and 2 Oregon Health Sciences University

All correspondence concerning this article should be addressed to Dennis Drotar, Division of Behavioral Pediatrics and Psychology, Rainbow Babies and Children’s Hospital, 11100 Euclid Avenue, Cleveland, Ohio 44106-6038. E-mail: dxd3@po.cwru.edu.

Received October 13, 2004; accepted October 22, 2004

The first 150 words of the full text of this article appear below.


   Contributions of this RCT
 
In this issue, Robins and colleagues presented the results of a randomized controlled trial (RCT) that documented the efficacy of cognitive behavioral treatment (CBT) for reducing the frequency of pain and school absences in a group of children with recurrent abdominal pain (RAP). This is an important clinical population for several reasons: (a) relatively large numbers of children and adolescents are affected with RAP (Campo, Jansen-McWilliams, Comer, & Kelleher, 1999Go); (b) RAP has significant functional impact on children’s school, physical activities, and health care utilization (Wasserman, Whitington, & Rivara, 1988Go); and (c) RAP persists into adulthood among a relatively large percentage of patients (Walker, Guite, Duke, Barnard, & Greene, 1998Go). Despite its clinical importance, RAP is a complex condition that is very difficult to manage within current models of medical treatment (Tarkan, 2004Go). Although RAP commonly presents to primary care physicians and pediatric gastroenterologists as a . . . [Full Text of this Article]


   Methodological and Logistical Challenges
 

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